Skilled Nursing

Avina of Pewaukee

N26 W23977 Watertown Rd., Waukesha, WI 53188

120beds
Skilled Nursingcare types
1/5CMS rating
Updated2026

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Inspection & Compliance

Data from CMS (Centers for Medicare & Medicaid Services), updated weekly. Medicare.gov Care Compare

3.0h

Hrs/resident · weekday

Expected: 3.4h

3.0h

Hrs/resident · weekend

vs 3.0h on weekdays

Not reported

30-day hospital readmission rate

Annual Staff Turnover Rates

High turnover is one of the strongest predictors of care quality. National average CNA turnover is ~75%.

RNs
38%
LPNs
CNAs
41%

Administrator turnover: 0 in the past year

Health Inspection Deficiencies · Last 3 Years

SeriousImmediate Jeopardy0600Severity JDec 26, 2023

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected: Jan 15, 2024

46 standard deficiencies in the last 3 years

View all
0689Severity DMar 18, 2026

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0686Severity DMar 18, 2026

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0610Severity DMar 18, 2026

Respond appropriately to all alleged violations.

0609Severity DMar 18, 2026

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0584Severity EMar 18, 2026

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0880Severity DJul 15, 2025

Provide and implement an infection prevention and control program.

0847Severity DJun 9, 2025

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

0814Severity FJun 9, 2025

Dispose of garbage and refuse properly.

0804Severity EJun 9, 2025

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0761Severity EJun 9, 2025

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0725Severity EJun 9, 2025

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0692Severity EJun 9, 2025

Provide enough food/fluids to maintain a resident's health.

0688Severity DJun 9, 2025

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

0684Severity DJun 9, 2025

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0679Severity EJun 9, 2025

Provide activities to meet all resident's needs.

0605Severity EJun 9, 2025

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

0604Severity DJun 9, 2025

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

0584Severity EJun 9, 2025

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0578Severity DJun 9, 2025

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

0565Severity EJun 9, 2025

Honor the resident's right to organize and participate in resident/family groups in the facility.

0842Severity DAug 20, 2024

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0693Severity DAug 20, 2024

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

0688Severity DAug 20, 2024

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

0657Severity DAug 20, 2024

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0610Severity DAug 20, 2024

Respond appropriately to all alleged violations.

0609Severity DAug 20, 2024

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0880Severity FMar 4, 2024

Provide and implement an infection prevention and control program.

0812Severity FMar 4, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0800Severity DMar 4, 2024

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

0761Severity DMar 4, 2024

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0757Severity DMar 4, 2024

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0756Severity DMar 4, 2024

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0755Severity DMar 4, 2024

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0740Severity DMar 4, 2024

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

0698Severity DMar 4, 2024

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0689Severity EMar 4, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0686Severity DMar 4, 2024

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0684Severity EMar 4, 2024

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0585Severity EMar 4, 2024

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

0758Severity DDec 26, 2023

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

0745Severity DDec 26, 2023

Provide medically-related social services to help each resident achieve the highest possible quality of life.

0684Severity DDec 26, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0610Severity DDec 26, 2023

Respond appropriately to all alleged violations.

0584Severity EDec 26, 2023

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0745Severity DNov 21, 2023

Provide medically-related social services to help each resident achieve the highest possible quality of life.

0689Severity DNov 21, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

View full inspection history on Medicare.gov

Civil Monetary Penalties

No civil monetary penalties on record.

Nearby Hospitals

No hospitals found within 10 miles.

Proximity to emergency care is especially important for medically complex residents.

Ownership

CCC OF PEWAUKEE LLC· For profit - Corporation

Data updated weekly from CMS. Last sync: Jun 26, 2026. Medicare.gov Care Compare →

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Data sourced from the Centers for Medicare & Medicaid Services and state licensing agencies. ← Back to search

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